AVTCP Exotic Companion Animal Skills List A minimum of 80% of the skills must be mastered. Skills must be cross referenced in your case logs. Mastery is defined as to be able to perform a task consistently and competently without being coached or directed no less than 4 times. Mastery requires having performed the task in a wide variety of patients and situations. Husbandry Requirements Skill 1. 2. 3. 4. Case Log Vet or VTS Number(s) Signature Ability to recognize and identify different species of both common and rare avian and exotic pets Mastery of husbandry requirements for the most common avian and exotic species including, but not limited to nutritional requirements, caging/housing, substrate, temperatures, humidity, lighting, grooming, bathing, foraging, enrichment, etc. Expertise in the application of husbandry requirements in the hospital setting to maximize patient care and comfort Proficiency in the education of clients and coworkers in the proper care of individual species of avian and exotic pets General Nursing Skill 5. Perform a comprehensive physical exam: identify normal/abnormal eyes, ears, nares, oral, vent, choana, heart/ and lung sounds, pain assessment, body condition score, hydration status 6. Recognize signs of respiratory failure, shock 7. Accurately and efficiently triage patients presenting for emergent conditions 8. In association with other medical team members, administer CPR, evaluate effectiveness, and troubleshoot therapy 9. Thorough knowledge of substances that, when ingested, result in toxicity 10. Efficient and accurate calculation of drug doses, solutions, and IV fluid rates 11. Demonstrate thorough knowledge of metric conversions 12. Mastery of venipuncture in healthy, sick, and/or debilitated animals. 13 Mastery of jugular and peripheral IV catheter placement in a variety of sites in healthy sick, and/or debilitated animals Case Log Vet or VTS Number(s) Signature 14. Mastery of intraosseous catheterization in a variety of sites in healthy, sick, and/or debilitated animals 15. Set up and maintain an IV fluid pump and syringe pump and be able to troubleshoot equipment malfunction 16. Mastery of various methods of centesis (cysto, percutaneous, and abdominal/coelomic) 17. Proficiency in placement and maintenance of a urinary catheter in ferrets, rabbits, and guinea pigs (male and female) 18. Proper placement and/or maintenance of at least two (2) of the following types of enteral feeding tubes: nasogastric, esophageal, gastric, jejunal, crop/proventricular 19. Properly administer blood products, including obtaining donor blood and monitoring techniques throughout the transfusion 20. Set up and perform non-invasive blood pressure monitoring, evaluate blood pressure status, and troubleshoot equipment malfunction 21. Set up and monitor heart rate and rhythm with ECG monitoring, recognize normal and abnormal tracings, and troubleshoot equipment malfunction 22. Set up a pulse oximeter, evaluate oxygen status, and troubleshoot equipment malfunction 23. Administration of fluids and medications via various parenteral administration sites (IM, SC, ICe, IV, IO) Anesthesia/Analgesia SKILL 24. Assign appropriate ASA status after reviewing patient history, PE, and diagnostic results in collaboration with a veterinarian 25. In collaboration with a veterinarian, determine appropriate anesthetic and peri-anesthetic protocols to provide effective pain management and maximum anesthetic safety and effectiveness 26. Perform local and regional nerve blocks 27. Evaluate the effects of common pre-anesthetic, induction, and maintenance drugs 28. Evaluate and respond to adverse reactions to and/or complications from pre-anesthetic, induction, and maintenance drugs 29. Implement appropriate pre-oxygenation technique and know rationale with regards to species, anemia, etc Case Log Number(s) Vet or VTS Signature 30. Mastery of endotracheal intubation and tube placement with regard to size, length, safe technique, and when to use cuffed vs. non-cuffed tubes in routine and emergent situations 31. Thorough knowledge of the risks associated with intubation and the appropriate steps to avoid these risks 32. Set up a capnograph end-tidal CO2 monitor, evaluate ventilation status, and troubleshoot equipment malfunction 33. Set up a continuous respiratory rate monitor, evaluate respiratory rate status, and troubleshoot equipment malfunction 34. Perform manual intermittent positive pressure ventilation with an anesthesia breathing bag and evaluate its effectiveness 35. Set up ventilator, calculate appropriate tidal volume and respiratory rate, and troubleshoot machine as needed 36. Set up and monitor temperature (esophageal, rectal, external), evaluate patient status, and troubleshoot machine malfunction 37. Implement techniques to prevent hypothermia/hyperthermia and resolve these issues by safely and effectively using devices such as warm air blankets, circulating water blankets, IV fluid warmers, radiant heating devices, and incubators pre and post surgically 38. Monitor and evaluate patient status and anesthetic depth using established parameters such as outward involuntary physical response (i.e. jaw tone, palpebral reflex, eye position), blood pressure, ECG, pulse oximetry, heart rate, respiratory rate, and ventilation status 39. Administer and evaluate the effects of IV fluid (crystalloid and colloid) and blood component therapy during anesthesia 40. Ability to assess appropriate extubation time with regard to various species, (such as reptiles versus ferrets), regurgitation/aspiration, and emergence from anesthesia 41. Set up, maintain, and troubleshoot a non-rebreathing system 42. Set up, maintain, and troubleshoot a rebreathing system 43. Set up, maintain, and troubleshoot an anesthesia machine (oxygen tank, vaporizer, CO2 absorbent, scavenger system) 44. Set up, maintain, and troubleshoot an anesthetic induction chamber 45. Set up, maintain, and troubleshoot a waste gas scavenging system Surgical Nursing Skill Case Log Number(s) Vet or VTS Signature Case Log Number(s) Vet or VTS Signature 46. Mastery of the unique and varied individual surgical nursing requirements of various species (ferrets, small rodents, birds, rabbits, guinea pigs, reptiles, etc.) 47. Extensive knowledge of and ability to set up necessary equipment and supplies for a variety of surgeries (i.e. reproductive tract, GI tract, ophthalmic, orthopedic, soft tissue, rigid and flexible endoscopy, laparoscopy/coeleoscopy) for each species 48. Coordinate the process of preparation, safe use, and maintenance of suction equipment, radiosurgery, electrocautery, and laser units 49. Coordinate the process of preparation and positioning of patients for a variety of surgical procedures (i.e. reproductive tract, GI tract, ophthalmic, orthopedic, soft tissue, rigid and flexible endoscopy, laparoscopy/coeleoscopy) for each species 50. Coordinate pre and post operative care of surgical patients 51. Supervise staff in the care of surgical instruments 52. Supervise staff in proper surgical sterilization procedures (autoclave, ethelyne oxide, gluteraldehyde, etc.) Laboratory Skill 53. Mastery of all basic laboratory testing: PCV, TP, UA, fecal analysis (direct smears, floats, gram stains, acid fast stains), external parasite analysis, basic cytology, blood smear evaluation, and estimated WBC count 54. Utilize, maintain, and troubleshoot in-house hematology and clinical chemistry analyzers and evaluate results 55. Demonstrate the ability to perform at least 2 different inhouse clotting tests (BMBT, ACT, Platelet evaluation, PT, APTT) 56. Demonstrate the ability to obtain samples for tests such as, but not limited to, CBC, clinical chemistries, PCR, serology, and virology. This includes: appropriate fasting protocols, correct timing of sample collection, and correct sample collection and handling 57. Properly collect, handle, and store samples of excretion, secretion, and effusion for laboratory evaluation 58. Properly collect, handle, and submit cytology and samples for laboratory evaluation 59. Properly collect, handle, and submit samples for bacterial and fungal culturing 60. Properly collect, handle, and submit samples for histopathology Diagnostic Imaging Skill Case Log Number(s) Vet or VTS Signature Case Log Number(s) Vet or VTS Signature 61. Coordinate the radiographic process by directing team members to consistently and efficiently produce radiographs of diagnostic quality 62. Proficiency in evaluating the patient’s condition (medical, surgical, behavioral) and adapting the radiographic procedures to those conditions 63. Demonstrate accuracy and efficiency in positioning patients for a variety of radiographic studies (thorax, abdomen, spine, skull, extremity, pelvis, dental) 64. Accurate and consistent evaluation and modification of radiographic technique 65. Perform and/or demonstrate the ability to set up and assist in contrast studies (i.e. GI studies, double contrast, cystograms, myelograms) including the set up of necessary equipment, patient preparation, and administration of contrast media 66. Ability to maintain radiograph cassettes, radiology processor and develop radiographs properly 67. Ability to utilize, troubleshoot, and manipulate technique using digital radiology 68. Demonstrate the ability to set up, maintain equipment, and assist with or perform ultrasonography Dentistry Skill 69. Thorough knowledge of dental anatomy for all species (rodent, rabbit, ferret, hedgehog, sugar glider, etc.) 70. Efficiently perform a comprehensive oral exam 71. Readily identify oral pathology and anatomic abnormalities 72. Comprehensive knowledge of how to use and care for dental hand instruments and power instruments 73. Perform thorough and efficient dental prophylaxis 74. Efficiently and consistently produce dental radiographs of diagnostic quality 75. Ability to perform and/or assist with rodent/rabbit dental trimming 76. Ability to maintain and troubleshoot dental machinery and equipment Pharmacology Skill Case Log Vet or VTS Number(s) Signature 77. Extensive knowledge of groups of drugs, their mechanisms, clinically relevant side effects, and accurate evaluation of therapeutic responses 78. Extensive knowledge of types of vaccines, their immunological mechanisms, and adverse vaccine reactions Behavior Skill 79. Knowledge of basic behavioral learning concepts (i.e. punishment, positive reinforcement, rewards, operant conditioning) 80. Ability to recognize appropriate and inappropriate behaviors in several species (birds, rabbits, reptiles, etc.) and provide information to clients regarding current scientifically based techniques of training, management, and behavior modification 81. Familiarity with a variety of training tools and their uses 82. Train practice staff in recognizing and managing aggressive behavior in the practice setting (i.e. use of proper restraint techniques, muzzles, sedation, etc.) Case Log Vet or VTS Number(s) Signature Leadership Roles Skill Case Log Vet or VTS Number(s) Signature 83. Supervise the creation and maintenance of all appropriate facility records and logs in compliance with regulatory guidelines (e.g. radiology, surgery, anesthesia, laboratory, controlled substances 84. Instruct and supervise staff in the accurate recording of medical information 85. Manage inventory control 86. Establish and supervise the maintenance of appropriate sanitation and nosocomial protocols for a veterinary facility including patient and laboratory areas 87. Educate hospital staff in the recognition and proper handling and housing of patients with potentially infectious diseases 88. Proficient at developing and providing client education in a clear and accurate manner at the level the client understands (i.e. oral and written form including educational handouts) 89. Outstanding interpersonal and public relations skills 90. Skilled application of crisis intervention/grief management skills with clients 91. Ability to navigate and appropriately/professionally manage social networking media sites I, the undersigned, declare that I have read the entire AVTCP application packet. I further attest that the above-named applicant has achieved the AVTCP definition of mastery for the above skills that are marked with my signature. _________________________________________/________________________________________ Printed Name and Degree Signature _________________________________________/________________________________________ Printed Name and Degree Signature _________________________________________/________________________________________ Printed Name and Degree Signature _________________________________________/________________________________________ Printed Name and Degree Signature _________________________________________/________________________________________ Printed Name and Degree Signature Please provide the names and credentials of all persons who have signed this form attesting to your mastery of advanced skills in clinical practice.
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